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Many authors have pointed that precocious weaning expose infants to serious risks as hypernutrition, obesity, adverse reactions to foods, hypernatremia, dental caries, emotional problems as anorexia or bulimia, so that actually weaning is delayed after 6th month of age. Going on with the "adapted" formula is a relative nonsense because "adapted" milks have low protein and calcium contents so that they are not adequate to cover estimated and advisable intakes of 4-6 month baby unless feeding unusual higher volumes. On the other side "fresh milk" can not be considered a nutritional "chance", owing its low values of EFA, iron, vitamins, getting worse when fresh milk is diluted. So, recently was born a new milk formula "the follow up milk", on covering nutritional requirement for infants after 4 months of age. Someone is still critical about a follow up milk, also if ESPGAN in 1981 has confirmed its value in the infant feeding. Our work dealed on physical and biochemical nutritional assessment of 100 infants fed a new "liquid follow up formula" (Transilat). Nutritional assessment was performed with the following parameters: daily changes in weight according Fomon standards, plasmatic iron, cholesterol, transferrin, calcium, total proteins, hemoglobin concentration; all data are related to literature values for age. Results show that infants fed (Transilat) are growing well; nutritional data from biochemical point of view discovered any form of minimal or sporadic malnutrition. The follow up milk is a good nutritional "chance" after 4th month of age, instead of fresh cow milk; some infant with clinical problem needing a delayed introduction of cow milk can benefit of follow up milk also in older ages.
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PMID:["Follow-up milk": general principles and evaluation of the nutritional status of 100 subjects fed a liquid transitional formula]. 664 69

The quality of food service and nutrition education at a private day care center concerned a registered dietitian who was also a graduate student in public health nutrition and the mother of a toddler enrolled at the center. As part of her information search, the dietitian discussed her concerns with an interdisciplinary team of public health nutritionists, a sanitarian, state dietary consultants, and North Carolina Office of Child Day Care Licensing staff. Through a study conducted at a day care center, the nutrition education of the staff and the children was improved. Sanitation was emphasized in the food preparation area, while basic nutrition education concerned with the prevention of childhood obesity, iron deficiency anemia, and dental caries was provided to the director, the teachers, and the children. Efforts are now being made at the state level to improve child day care nutrition standards. Recommendations are included for all phases of menu planning, food service, and nutrition education in child day care facilities.
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PMID:Nutrition in a private day care center. 682 12

Sucrose consumption is a controversial issue. Part of the difficulty arises because of inadequate knowledge about the actual consumption of populations, as well as individuals within a population. Data on the sucrose content of foods are lacking. This review presents information published in the 1970s on these topics as well as current research and thinking about possible relationships of sucrose consumption to dental caries, cardiovascular disease, diabetes, obesity, and other disease conditions. Current attitudes toward recommendations concerning sugar consumption in the U.S. Dietary Goals are examined, as are data on the use of sugar as a fortification vehicle.
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PMID:The nutrition significance of sucrose consumption, 1970-1980. 700 64

Data currently available indicate that high sucrose consumption does not contribute significantly to the prevalence of cardiovascular disease, diabetes mellitus, obesity, or micronutrient deficiency. It may contribute, however, to dental caries formation by cariogenic bacteria.
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PMID:Sucrose and disease. 721 86

Nutritional surveys attempt to estimate the nutritional status of people from various physical (clinical, anthropometric) and biochemical (with respect to nutrients) measurements, whereas dietary surveys attempt to measure what people eat. Although dietary surveys help explain possible reasons for clinical and laboratory findings, the nutritional status of people cannot be inferred from the diet alone. The determinants of nutritional status and, for that matter, the health of the individual and the population as a whole, include a variety of factors, biologic (genetic), behavioral, sociocultural, economic, and environmental. Diet is one environmental factor of great importance in determining man's level of health and well-being. The 1971-1974 HANES showed that excessive weight or obesity is a major health problem affecting people at all age and economic levels. At the same time, the survey showed a trend toward low calorie intake among certain adults over age 45, particularly women over age 60. The data also indicate that iron deficiency occurs among young children, pregnant women, and the elderly and that dental caries is a prevalent condition. Vitamin and iodine deficiencies, for practical purposes, do not exist in the U.S. population, although several surveys have uncovered certain vitamin deficiencies among the elderly. Dietary deficiencies, where they occur, are related to socioeconomic and cultural factors, specific conditions, and disease states. Reliable data do not exist to estimate the extent of malnutrition among the hospitalized and institutionalized population.
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PMID:Overview of nutritional status in the United States. 730 53

The functions of an outpatient anaesthetic clinic are discussed in relation to the first 100 patients who attended. Preoperative assessment excluded 11 patients who would have been refused anaesthesia for elective operations without further treatment. Six of these required preoperative physiotherapy, 4 antihypertensive therapy, and 1 hospital admission for incipient myocardial infarction. The clinic also played an important role with regard to advice and reassurance of the patient from an experienced anaesthetist, organising suitable admission dates, and detecting anaesthetic and surgical hazards, especially dental caries and obesity, which could be corrected before operation. Two patients developed postoperative complications which could not have been foreseen.
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PMID:Outpatient preoperative assessment: the anaesthetist's view. 743 96

It is study made an analysis of national expert reports on dietary guidelines published all over the world in the 30-year period between 1961 and 1991. The aim is to identify what the reports recommend about the consumption of sugars and their relation to chronic diseases, and also what advice should be given to the public and appropriate authorities regarding levels of sugars in the diet. Information was gathered from 115 reports published by experts committees in 36 different countries and regions of the world, including developed and developing countries. The results showed that the great majority (84.5%) of the reports analysed make recommendations on the extrinsic consumption of sugar and that there is an agreement that these sugars, especially sucrose, must be reduced in the diet. The commonest level proposed is that 10% of total calorie intake from extrinsic sugars should be considered the maximum level. Such advice is often addressed to the general population and it is offered with a view to the maintenance of general health and especially to the prevention dental caries and obesity. It was concluded that advice on the intake of sugars given by dietary guidelines in the last three decades is coherent with the existing scientific evidence on the relationship between sugars and human diseases and, therefore, they should be integrated into national food and health policies.
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PMID:[An analysis of the recommendations on sugar consumption p between 1961 and 1991]. 774 83

Healthy eating patterns in childhood and adolescence promote optimal childhood health, growth, and intellectual development; prevent immediate health problems, such as iron deficiency anemia, obesity, eating disorders, and dental caries; and may prevent long-term health problems, such as coronary heart disease, cancer, and stroke. School health programs can help children and adolescents attain full educational potential and good health by providing them with the skills, social support, and environmental reinforcement they need to adopt long-term, healthy eating behaviors. This report summarizes strategies most likely to be effective in promoting healthy eating among school-age youths and provides nutrition education guidelines for a comprehensive school health program. These guidelines are based on a review of research, theory, and current practice, and they were developed by CDC in collaboration with experts from universities and from national, federal, and voluntary agencies. The guidelines include recommendations on seven aspects of a school-based program to promote healthy eating: school policy on nutrition, a sequential, coordinated curriculum, appropriate instruction for students, integration of school food service and nutrition education, staff training; family and community involvement, and program evaluation.
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PMID:Guidelines for school health programs to promote lifelong healthy eating. Centers for Disease Control and Prevention. 863 98

A 43-year-old female was admitted to our hospital for polydipsia and hyperglycemia. She had total blindness and globes were not recognized by inspection, indicating clinical anophthalmia. Physical examination revealed short stature, obesity, prematurely gray hair, shortness of fingers and toes, syndactyly, and multiple dental caries. Laboratory examination showed hyperglycemia, increased glycosilated hemoglobin (HbA1c) and insulin resistance on euglycemic glucose clamp. Blunted growth hormone (GH) secretion was shown in response to insulin-induced hypoglycemia, arginine infusion, and GH-releasing hormone (GHRH) loading test, and in 24 h spontaneous GH profile. Magnetic resonance imaging (MRI) and computed tomography (CT) showed dysostosis of orbit, defect of optic nerve, enlarged suprasellar cistern, and prolonged pituitary stalk. This may be the first report of a unique case with GH deficiency accompanied by clinical anophthalmia, hypoplastic orbits, digital dysplasia, short stature, obesity, and diabetes mellitus.
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PMID:Unique case of growth hormone (GH) deficiency accompanied by clinical anophthalmia, hypoplastic orbits, digital dysplasia, short stature, obesity, and diabetes mellitus. 872 46

Several rapid assessment surveys were carried out during the period 1988-1991 to determine the food habit of preschool children, adolescent girls and mothers in Muscat (the capital) and southern region in Oman. Data were collected from health centers, hospitals and households. There have been differences in dietary habits between the people in the two regions. These differences were more evident in breastfeeding practices, meal patterns of adolescent girls and food frequency intake of mothers. Geographical location, occupation of inhabitants, cultural and ethnic factors may be responsible for the variation in dietary habits between the two regions. Several unsound food practices during pregnancy and puerperium were reported in both regions. In general, dietary patterns of mothers and children have changed dramatically during the past two decades. Duration of breastfeeding has declined and infant formula as well as commercial weaning foods were introduced at an early time of infants' lives. The trend of consumption of food for infants, adolescent girls and mothers is in the direction of unhealthier eating habits, as foods rich in fat, cholesterol, refined sugar and salt are commonly consumed. This food pattern may contribute to diet-related chronic diseases such as obesity, diabetes, hypertension, heart disease and dental caries. A nutrition education programme to promote a healthy diet and to correct unsound food beliefs and habits is urgently needed.
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PMID:Food habits of mothers and children in two regions of Oman. 881 82


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